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ORA ORTHOPEDICS PC NPI 1962481861


NPI Information

NPI: 1962481861
Provider Name: ORA ORTHOPEDICS PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265
Phone: (309) 762-3621
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ORA ORTHOPEDICS PC is an orthopaedic surgery in Moline, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ORA ORTHOPEDICS PC NPI is 1962481861. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265-194
Phone: (309) 762-3621
Fax: (309) 762-3690

The provider's authorized official is Kenneth Brockman .
The authorized official title is Ceo and has the following contact phone number (309) 762-3621.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 8/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WM0705XRegistered NurseMedical-SurgicalNo
2207QS0010XFamily MedicineSports MedicineNo
3207RR0500XInternal MedicineRheumatologyNo
4207XS0106XOrthopaedic SurgeryHand SurgeryNo
52084N0400XPsychiatry & NeurologyNeurologyNo
62084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
7213ES0103XPodiatristFoot & Ankle SurgeryNo
8246ZS0400XNo
9247200000XTechnician, OtherNo
10332B00000XDurable Medical Equipment & Medical SuppliesNo
11335E00000XProsthetic/Orthotic SupplierNo
12363AM0700XPhysician AssistantMedicalNo
13363AS0400XPhysician AssistantSurgicalNo
14363L00000XNurse PractitionerNo
15207X00000XOrthopaedic Surgery060006850ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
158091OTHERIOWAWELLMARK
20293060001MEDICARE NSCILLINOIS
357821MEDICARE ID-TYPE UNSPECIFIEDIOWA
40073734MEDICAIDIOWA
599204OTHERIOWAWELLMARK
6CN0248OTHERIDAHORR MEDICARE
758091MEDICARE ID-TYPE UNSPECIFIEDIOWA
858109MEDICARE ID-TYPE UNSPECIFIEDIOWA
9CD9661OTHERIOWARR MEDICARE
1092231OTHERIOWAWELLMARK
1157821OTHERIOWAWELLMARK
128121085OTHERILLINOISBCBS-IL
1337772OTHERIOWAWELLMARK
14209395MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
1558109OTHERIOWAWELLMARK
1658104OTHERIOWAWELLMARK
1791376OTHERIOWAWELLMARK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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